| Regimental number | 3797 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | Motorman |
| Address | Cresswell Street, Newstead, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Mary Ann Atkins, Cresswell Street, Newstead, Brisbane, Queensland |
| Enlistment date | 23 March 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 2 January 1919 |
